0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Primary Care Screening for Dementia and Mild Cognitive Impairment—Reply

Carol Brayne, FRCP; Chris Fox, MD; Malaz Boustani, MD, MPH
JAMA. 2008;299(10):1132-1134. doi:10.1001/jama.299.10.1133.
Text Size: A A A
Published online

Extract

In Reply: In our Commentary, we concluded that at present there is insufficient evidence for the systematic introduction of dementia screening in primary care and recommended that the scientific community design and conduct a randomized controlled trial that would compare dementia screening to case-finding enhancement in regard to reducing the overall societal burden of dementia.

Drs Rafii and Galasko introduce the topic of MCI. Mild cognitive impairment is a disputed and evolving concept with variable sets of criteria and prognostic significance in population studies.1 The first requirement for screening is to have a clearly defined entity, and at present MCI does not meet this criterion. In certain research settings, some of the criteria have been demonstrated to be useful, but the evidence is not sufficient for primary care.1,2 Rafii and Galasko also suggest a parallel with diabetes. There is not a systematic screening program for prediabetes, and in the United Kingdom, diabetes screening itself is not currently recommended.3 Only those persons at high risk are screened, and there are large studies ongoing to establish the value of more general diabetes screening.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

March 12, 2008
Michael S. Rafii, MD, PhD; Douglas Galasko, MD
JAMA. 2008;299(10):1132-1134. doi:10.1001/jama.299.10.1132-a.
March 12, 2008
J. Wesson Ashford, MD, PhD; Soo Borson, MD
JAMA. 2008;299(10):1132-1134. doi:10.1001/jama.299.10.1132-b.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();